Toxicology USMLE Step 1 Practice Question
A 6-year-old boy presents with lead poisoning from peeling paint exposure. Vital signs: BP 105/68 mmHg, HR 88/min, RR 20/min, temp 37°C, SpO2 98% on room air. Blood lead level is 52 mcg/dL with microcytic anemia (hemoglobin 10.2 g/dL). He exhibits irritability and abdominal discomfort but denies seizures or altered mental status. He takes no chronic medications. Which oral chelation agent is most appropriate for this symptomatic child without encephalopathy?
Answer choices
- APralidoxime
- BMethotrexate
- CHydroxocobalamin
- DN-acetylcysteine
- ESuccimerCorrect answer
- FDimercaprol (BAL)
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